From valuing research to implementing evidence-based practices: perceptions of research value, confidence, and barriers among aging service providers.

Background and Objectives With the older adult population expected to nearly double globally, demand for evidence-based practices addressing older adults' health and social needs continues to grow. Yet little is known about aging service providers' perceptions of research and the factors shaping pro...

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Published in:Gerontologist Vol. 66; no. 8; pp. 1 - 10
Main Authors: Lee, Aryn, Moxley, Jerad, Gladfelter, Jenna, Nickerson, Allison, Wethington, Elaine, Prado, Valeria Ramos, Kim, Patricia, Reid, M Carrington
Format: Article
Published: Oxford University Press / USA Aug2026
Subjects:
Online Access:View this record in EBSCOhost
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      pub: Oxford University Press / USA
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        atl: From valuing research to implementing evidence-based practices: perceptions of research value, confidence, and barriers among aging service providers.
      aug:
        au:
          Lee, Aryn
          Moxley, Jerad
          Gladfelter, Jenna
          Nickerson, Allison
          Wethington, Elaine
          Prado, Valeria Ramos
          Kim, Patricia
          Reid, M Carrington
        affil:
          Division of Geriatrics and Palliative Care, Weill Cornell Medicine, New York, New York, United States
          LiveOn NY, New York, New York, United States
          College of Human Ecology, Cornell University, Ithaca, New York, United States
      su:
        New York (State)
        Elder care
        Cross-sectional method
        Community health services
        Hispanic Americans
        Confidence
        Motivation (Psychology)
        Multiracial people
        Race
        Aging
        Medical research
        Job involvement
        Research funding
        Questionnaires
        Descriptive statistics
        Surveys
        Attitudes of medical personnel
        Conceptual structures
        Evidence-based medicine
        Factor analysis
        Professional competence
      sug:
        subj:
          Elder care
          Cross-sectional method
          Community health services
          Hispanic Americans
          Confidence
          Motivation (Psychology)
          Multiracial people
          Race
          Aging
          Medical research
          New York (State)
          Continuing Care Retirement Communities
          Other local, municipal and regional public administration
          Community health centres
          All Other Outpatient Care Centers
          Residential Mental Health and Substance Abuse Facilities
          Other Individual and Family Services
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Job involvement
          Research funding
          Questionnaires
          Descriptive statistics
          Surveys
          Attitudes of medical personnel
          Conceptual structures
          Evidence-based medicine
          Factor analysis
          Professional competence
      keyword:
        Area Agencies on Aging
        D&I/Implementation science/Pragmatic trials
        Evidence-based practice
        Home and community-based care and services
        Public policy
        Area Agencies on Aging
        D&I/Implementation science/Pragmatic trials
        Evidence-based practice
        Home and community-based care and services
        Public policy
      ab: Background and Objectives With the older adult population expected to nearly double globally, demand for evidence-based practices addressing older adults' health and social needs continues to grow. Yet little is known about aging service providers' perceptions of research and the factors shaping providers' capacity and motivation to implement evidence-based practices. This study used the Consolidated Framework for Implementation Research (CFIR) to examine providers' research perceptions within a New York-based network of Area Agencies on Aging. Research Design and Methods A cross-sectional survey was administered to providers via REDCap (December 2023–May 2024). Respondents (N  = 172) completed a questionnaire. Principal component analysis with parallel analysis identified 3 factors representing providers' engagement with research: Research Barriers, Perceived Research Value, and Research Confidence. Rank-based regression models identified predictors of each factor. Results Perceived Research Value (M  = 4.38, SD  = 0.56) was high, Research Confidence moderate (M  = 3.76, SD  = 0.73), and Research Barriers near the midpoint (M  = 3.10, SD  = 0.63). Only the Research Confidence model was significant: Multiracial providers scored lower than White providers, while executives scored higher than caseworkers. Discussion and Implications Although providers broadly endorsed the value of research, confidence in applying findings differed by professional role, suggesting capacity, rather than motivation, may be the primary implementation challenge in the aging services. A small subgroup difference by race was also observed but should be interpreted cautiously given limited sample size. From a CFIR perspective, closing this gap requires multilevel strategies targeting the Inner Setting (e.g. protected learning time, accessible research summaries, role-specific training) and provider self-efficacy.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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